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Development of explicit criteria to measure adherence to hypertension guidelines
Journal article   Peer reviewed

Development of explicit criteria to measure adherence to hypertension guidelines

J L Milchak, B L Carter, G Ardery, H R Black, G L Bakris, D W Jones and C D Kreiter
Journal of human hypertension, Vol.20(6), pp.426-433
06/01/2006
DOI: 10.1038/sj.jhh.1002005
PMCID: PMC1513124
PMID: 16543909

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Abstract

Measures of adherence to hypertension guidelines have historically been based on prescription data or physician survey data regarding treatment practices. These methods have limitations that decrease their accuracy. As part of a randomized controlled study testing the effects of pharmacist/physician collaboration on adherence to hypertension guidelines, the investigators and an expert panel developed a JNC 7 measurement tool. The final guideline adherence measurement tool includes 22 explicit criteria in four domains of care. An exploratory factor analysis, conducted to assess the structure of the tool, suggests three underlying treatment dimensions in hypertension care. The adherence measurement tool will allow researchers to link specific elements of care to improved blood pressure control. In addition, use of the tool will provide clinicians with a taxonomy for evaluating practice and describing the effect of improved patient care on patient outcomes.
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